IndividualActive
Alexandria Bourgo
NPI 1861972069 · Behavior Technician · Gresham, OR
Provider details
- NPI number
- 1861972069
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Practice location
912 Ne Kelly Ave Ste 100c
Gresham, OR 97030-5629
Phone: (503) 912-5503
Mailing address
21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Registry dates
- Enumerated
- 2018-08-16
- Last updated
- 2018-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.